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Correlation of muscle (rectus femoris cross-sectional area) and adipose tissue (femoral and abdominal) parameters of nutritional ultrasound with the vectorial bioimpedance muscle mass and functionality test in hip fracture patients.

2023; Elsevier BV; Volume: 58; Linguagem: Inglês

10.1016/j.clnesp.2023.09.150

2405-4577

R.F. Fernández, Miriam Cuellar, Alessandro Galan, V. Alfaro Lara, R. de Castellar, Berta Bonnet Ubierna, J.M. Garcia Almeida, Pedro Pablo García‐Luna,

Hip and Femur Fractures

Rationale: Hip fracture is a pathology of great nutritional importance due to its high morbidity and high social and health care costs. Nutritional ultrasound is positioning itself as a "point of care of ultrasound" (POCUS) technique in the nutritional assessment of sarcopenia risk and complications (IRENE CLINICAL TRIAL) Methods: Prospective randomised study of patients over 65 years of age admitted to the trauma service for hip fracture, using MNA, analytical determinations, HGS, nutritional ultrasound and bioimpedance. Results: Sample of 85 patients, 75.9% female, mean age 80.7 years (± 6.8), weight 69.2±12.1 kg. According to MNA 10.6% were at risk of malnutrition and had sarcopenia 42.7% (HGS<27/16, 70.2%, ASMM <20/15 51.8%). A positive correlation is observed between the muscle parameters RFCSA area with FFM ( R: 0.67, p<0.01), ASMM ( R: 0.64 P<0.001), BCM ( R: 0.62P<0.0001), and PhA ( R: 0.32 P= 0.003), of BIVA, with HGS ( R: 0. 48 P=0.001), arm circumference ( R: 0.33 P=0.002), and calf ( R: 0.44 P=0.001), RF Y-axis is associated with FFM ( R: 0.52, p<0.001), ASMM ( R: 0.54 P<0.001), with HGS ( R: 0.29 P=0.007). Cronbach's=0.80. Ultrasound adipose: total leg adipose tissue (L-SAT) is associated with FM (R= 0.57, p<0.001) in BIVA, BMI (R= 0.61, p<0.001) and waist (R= 0.32, p=0.004).Total abdominal adipose tissue (T-SAT) with FM (R= 0.55, p<0.001) in BIVA, BMI (R= 0.54, p<0.001) and waist (R= 0.35, p=0.003). Cronbach's=0.50 Conclusion: Nutritional ultrasound shows a good correlation with other basic and advanced nutritional assessment techniques. It is necessary to establish new simple tools that relate the nutritional and functional situation of the patient in order to define strategies to optimise treatment. Disclosure of Interest: None declared